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NPI Code Detail

MEDICARE: ELISA SCHERB PT

MEDICARE:   ELISA  SCHERB  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT00010002WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821059221
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELISA SCHERB PT
Provider Business Mailing Address
First Line : 4649 SUNNYSIDE AVE N
Second Line : SUITE 302
City : SEATTLE
State : WA
Zip : 98103-6900
Country : US
Telephone Number : 206-588-0855
Fax Number : 206-588-0397
Provider Business Practice Location Address
First Line : 4649 SUNNYSIDE AVE N
Second Line : SUITE 302
City : SEATTLE
State : WA
Zip : 98103-6900
Country : US
Telephone Number : 206-588-0855
Fax Number : 206-588-0397
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2006
Last Update Date : 01/06/2012

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Directions to “ ELISA SCHERB PT” Practice Location

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